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Organization

SHARED ALCHEMY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY JANKE LCSW (LICENSED CLINICIAN)
(971) 236-3316
Entity
Organization

Contact information

Practice address
12920 SE BRIGGS ST, PORTLAND, OR 97222-6106
(971) 236-3316
Mailing address
12920 SE BRIGGS ST, PORTLAND, OR 97222-6106
(815) 440-6890

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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